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id="1463692212700262402_Note"></span></div><div class="itemTR" id="1463692214688362498_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692214688362498" itemCode="CM-0-1-1-2"><a id="1463692214688362498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692214688362498_Note"></span></div><div class="itemTR" id="1463692216638713857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主治医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692216638713857" itemCode="CM-0-1-1-3"><a id="1463692216638713857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692216638713857_Note"></span></div><div class="itemTR" id="1463692218651979778_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>责任护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692218651979778" itemCode="CM-0-1-1-4"><a id="1463692218651979778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692218651979778_Note"></span></div><div class="itemTR" id="1463692220648468482_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>上报科室</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692220648468482" itemCode="CM-0-1-1-5"><a id="1463692220648468482_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692220648468482_Note"></span></div><div class="itemTR" id="1463692222661734402_Row" dic='[]'><div style="display:inline-block;width:35%;" title="caseId" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者病案号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692222661734402" itemCode="caseId"><a id="1463692222661734402_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692222661734402_Note"></span></div><div class="itemTR" id="1463692224662417410_Row" dic='[]'><div style="display:inline-block;width:35%;" title="IDCard" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身份证号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692224662417410" itemCode="IDCard"><a id="1463692224662417410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692224662417410_Note"></span></div><div class="itemTR" id="1463692226667294722_Row" dic='[{"formItemId":1463692226667294722,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692767514406913,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692226667294722,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692769120825345,"indNo":2,"isActive":1,"desc":"G20.x00 帕金森病"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主要诊断ICD-10六位临床扩展编码与名称</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692226667294722" itemCode="CM-0-1-3-2"></div><a id="1463692226667294722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692226667294722_Note"></span></div><div class="itemTR" id="1463692228617646081_Row" dic='[{"formItemId":1463692228617646081,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692770655940609,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692228617646081,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692771436081153,"indNo":2,"isActive":1,"desc":"01.20 颅神经刺激脉冲发生器植入或置换"},{"formItemId":1463692228617646081,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692772199444482,"indNo":3,"isActive":1,"desc":"01.42 苍白球手术"},{"formItemId":1463692228617646081,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692772967002114,"indNo":4,"isActive":1,"desc":"02.93 颅内神经刺激器导线植入或置换术"},{"formItemId":1463692228617646081,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463692773763919874,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-4-1" class="itemDescTD">主要手术操作栏中提取ICD-9-CM-3四位亚目编码与名称</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692228617646081" itemCode="CM-0-1-4-1"><a id="1463692228617646081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692228617646081_Note"></span></div><div class="itemTR" id="1463692230584774658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-0-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他主要手术操作ICD-9-CM-3四位亚目编码与名称</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692230584774658" itemCode="PD-0-1-4-1"></div><a id="1463692230584774658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692230584774658_Note"></span></div><div class="itemTR" id="1463692232602234882_Row" dic='[{"formItemId":1463692232602234882,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692775248703489,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692232602234882,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692776846733314,"indNo":2,"isActive":1,"desc":"01.2000 颅神经刺激脉冲发生器植入或置换"},{"formItemId":1463692232602234882,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692777563959297,"indNo":3,"isActive":1,"desc":"01.2001 颅神经刺激脉冲发生器植入"},{"formItemId":1463692232602234882,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692778314739713,"indNo":4,"isActive":1,"desc":"01.2002 颅神经刺激脉冲发生器置换"},{"formItemId":1463692232602234882,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463692779044548610,"indNo":5,"isActive":1,"desc":"01.4200 苍白球手术"},{"formItemId":1463692232602234882,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463692779774357506,"indNo":6,"isActive":1,"desc":"01.4201 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20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692232602234882_Note"></span></div><div class="itemTR" id="1463692234611306497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-0-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他主要手术操作ICD-9-CM-3六位临床扩展编码与名称</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692234611306497" itemCode="PD-0-1-4-2"></div><a id="1463692234611306497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692234611306497_Note"></span></div><div class="itemTR" id="1463692236599406593_Row" dic='[{"formItemId":1463692236599406593,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692789358342145,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692236599406593,"isDefault":1,"updateDate":1700189069000,"code":"n","id":1463692790083956738,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692236599406593" itemCode="CM-0-1-5"></div><a id="1463692236599406593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692236599406593_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463692238658809857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692238658809857" itemCode="CM-0-2-1-1"><a id="1463692238658809857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692238658809857_Note"></span></div><div class="itemTR" id="1463692240751767554_Row" dic='[{"formItemId":1463692240751767554,"isDefault":0,"updateDate":1700189069000,"code":"M","id":1463692791543574529,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463692240751767554,"isDefault":0,"updateDate":1700189069000,"code":"F","id":1463692792327909377,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692240751767554" itemCode="CM-0-2-1-2"></div><a id="1463692240751767554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692240751767554_Note"></span></div><div class="itemTR" id="1463692242911834114_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692242911834114" itemCode="CM-0-2-1-3"><a id="1463692242911834114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692242911834114_Note"></span></div><div class="itemTR" id="1463692244912517122_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692244912517122" itemCode="CM-0-2-1-5"><a id="1463692244912517122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692244912517122_Note"></span></div><div class="itemTR" id="1463692246904811521_Row" dic='[{"formItemId":1463692246904811521,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463692793879801857,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692246904811521" itemCode="CM-0-2-2-1"></div><a id="1463692246904811521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692246904811521_Note"></span></div><div class="itemTR" id="1463692248859357186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692248859357186" itemCode="CM-0-2-2-2"><a id="1463692248859357186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692248859357186_Note"></span></div><div class="itemTR" id="1463692251052978178_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692251052978178" itemCode="CM-0-2-4-1"><a id="1463692251052978178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692251052978178_Note"></span></div><div class="itemTR" id="1463692253045272577_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692253045272577" itemCode="CM-0-2-4-2"><a id="1463692253045272577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692253045272577_Note"></span></div><div class="itemTR" id="1463692255087898626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD">手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692255087898626" itemCode="CM-0-2-6-1"><a id="1463692255087898626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692255087898626_Note"></span></div><div class="itemTR" id="1463692257117941762_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD">手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692257117941762" itemCode="CM-0-2-6-2"><a id="1463692257117941762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692257117941762_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463692259064098818_Row" 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id="1463692262989967362" itemCode="CM-0-3-3"><a id="1463692262989967362_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692262989967362_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('PD-1: 诊断标准')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PD-1: 诊断标准</div><div title="PD-1: 诊断标准"><p title="绝对排除标准" class="itemsubCat">绝对排除标准</p><div class="itemTR" id="1463692264961290242_Row" 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dic='[{"formItemId":1463692291095998465,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692853149511682,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692291095998465,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692853929652225,"indNo":2,"isActive":1,"desc":"药物剂量增加时症状显著改善，减少时症状显著加重；不包括轻微的改变。以上改变通过客观评分（治疗后 UPDRS-III 评分改善超过 30%）或主观（可靠的患者或看护者提供明确证实存在显著改变）记录"},{"formItemId":1463692291095998465,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692854659461121,"indNo":3,"isActive":1,"desc":"明确且显著的开/关期波动；必须在某种程度上包括可预测的剂末现象"}]'><div style="display:inline-block;width:35%;" title="PD-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>初始治疗显著应答表现为</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692291095998465" itemCode="PD-1-3-1-1"><a id="1463692291095998465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692291095998465_Note"></span></div><div class="itemTR" id="1463692294422081538_Row" dic='[{"formItemId":1463692294422081538,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692856236519426,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692294422081538,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463692856953745410,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出现左旋多巴诱导的异动症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692294422081538" itemCode="PD-1-3-2"></div><a id="1463692294422081538_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692294422081538_Note"></span></div><div class="itemTR" id="1463692296456318978_Row" dic='[{"formItemId":1463692296456318978,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692858451111938,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692296456318978,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463692859218669569,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-1-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床体格检查记录的单个肢体静止性震颤（既往或本次检查）</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692296456318978" itemCode="PD-1-3-3"></div><a id="1463692296456318978_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692296456318978_Note"></span></div><div class="itemTR" id="1463692300084391937_Row" dic='[{"formItemId":1463692300084391937,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692860707647489,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692300084391937,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463692861441650690,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-1-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>存在嗅觉丧失或心脏 MIBG 闪烁显像法显示存在心脏去交感神经支配</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692300084391937" itemCode="PD-1-3-4"></div><a id="1463692300084391937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692300084391937_Note"></span></div><p title="标准的应用" class="itemsubCat">标准的应用</p><div class="itemTR" id="1463692302085074946_Row" 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dic='[{"formItemId":1463692304060592130,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692866080550913,"indNo":1,"isActive":1,"desc":"不符合绝对排除标准"},{"formItemId":1463692304060592130,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692866818748417,"indNo":2,"isActive":1,"desc":"至少符合两条支持性标准"},{"formItemId":1463692304060592130,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692867552751617,"indNo":3,"isActive":1,"desc":"没有警示征象（red flags）"}]'><div style="display:inline-block;width:35%;" title="PD-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者确诊帕金森病（PD）的主要依据</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692304060592130" itemCode="PD-1-4-2"></div><a id="1463692304060592130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692304060592130_Note"></span></div><div class="itemTR" id="1463692306065469441_Row" dic='[{"formItemId":1463692306065469441,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692869020758018,"indNo":1,"isActive":1,"desc":"不符合绝对排除标准"},{"formItemId":1463692306065469441,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692869742178306,"indNo":2,"isActive":1,"desc":"出现 1 条警示征象，但通过至少 1 条支持性标准进行抵消"},{"formItemId":1463692306065469441,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692870488764417,"indNo":3,"isActive":1,"desc":"出现 2 条警示征象，但通过至少 2 条支持性标准进行抵消"},{"formItemId":1463692306065469441,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463692871239544833,"indNo":4,"isActive":1,"desc":"出现超过 2 条警示征象"}]'><div style="display:inline-block;width:35%;" title="PD-1-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者诊断为可能帕金森病（PD）的主要依据</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692306065469441" itemCode="PD-1-4-3"></div><a id="1463692306065469441_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692306065469441_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('PD-2: 辅助检查情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PD-2: 辅助检查情况</div><div title="PD-2: 辅助检查情况"><p title="急诊首次头部影像学检查" class="itemsubCat">急诊首次头部影像学检查</p><div class="itemTR" id="1463692308095512577_Row" dic='[{"formItemId":1463692308095512577,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692872732717058,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692308095512577,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463692873575772161,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施头部MRI检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692308095512577" itemCode="PD-2-1-1"></div><a id="1463692308095512577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692308095512577_Note"></span></div><div class="itemTR" id="1463692310125555714_Row" dic='[{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"a","matchRule":"","updateUser":"admin","id":1463692875157024769,"indNo":1,"isActive":1,"keyword":"","desc":"T1"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"b","matchRule":"","updateUser":"admin","id":1463692875962331138,"indNo":2,"isActive":1,"keyword":"","desc":"T2"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"c","matchRule":"","updateUser":"admin","id":1463692876742471682,"indNo":3,"isActive":1,"keyword":"","desc":"DWI"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"d","matchRule":"","updateUser":"admin","id":1463692877514223618,"indNo":4,"isActive":1,"keyword":"","desc":"ADC"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"e","matchRule":"","updateUser":"admin","id":1463692878244032514,"indNo":5,"isActive":1,"keyword":"SWI","desc":"SWI/T2*"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"f","matchRule":"","updateUser":"admin","id":1463692879053533186,"indNo":6,"isActive":1,"keyword":"","desc":"FLAIR"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"g","matchRule":"","updateUser":"admin","id":1463692879850450945,"indNo":7,"isActive":1,"keyword":"(冠状位|海马相)","desc":"冠状位/海马相"},{"formItemId":1463692310125555714,"isDefault":0,"updateDate":1704676842000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463692881016467458,"indNo":8,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成MRI序列</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692310125555714" itemCode="PD-2-1-2"></div><a id="1463692310125555714_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692310125555714_Note"></span></div><div class="itemTR" id="1463692312289816577_Row" dic='[{"formItemId":1463692312289816577,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692882664828929,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692312289816577,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463692883419803650,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施头部CT检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692312289816577" itemCode="PD-2-1-3"></div><a id="1463692312289816577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692312289816577_Note"></span></div><div class="itemTR" id="1463692314475048961_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692314475048961" itemCode="PD-2-1-4"><a id="1463692314475048961_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692314475048961_Note"></span></div><div class="itemTR" id="1463692316429594625_Row" dic='[{"formItemId":1463692316429594625,"isDefault":0,"updateDate":1704677037000,"code":"y","matchRule":"","updateUser":"admin","id":1463692885080748033,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463692316429594625,"isDefault":1,"updateDate":1704677037000,"code":"n","matchRule":"","updateUser":"admin","id":1463692885860888577,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施黑质超声检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692316429594625" itemCode="PD-2-2-1"></div><a id="1463692316429594625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692316429594625_Note"></span></div><div class="itemTR" id="1463692318635798529_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692318635798529" itemCode="PD-2-2-2"><a id="1463692318635798529_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692318635798529_Note"></span></div><div class="itemTR" id="1463692320619704322_Row" dic='[{"formItemId":1463692320619704322,"isDefault":0,"updateDate":1704677046000,"code":"y","matchRule":"","updateUser":"admin","id":1463692887379226625,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463692320619704322,"isDefault":1,"updateDate":1704677046000,"code":"n","matchRule":"","updateUser":"admin","id":1463692888192921601,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施震颤分析检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692320619704322" itemCode="PD-2-3-1"></div><a id="1463692320619704322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692320619704322_Note"></span></div><div class="itemTR" id="1463692322830102529_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692322830102529" itemCode="PD-2-3-2"><a id="1463692322830102529_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692322830102529_Note"></span></div><div class="itemTR" id="1463692324772065282_Row" dic='[{"formItemId":1463692324772065282,"isDefault":0,"updateDate":1704677109000,"code":"y","matchRule":"","updateUser":"admin","id":1463692890160050178,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463692324772065282,"isDefault":1,"updateDate":1704677109000,"code":"n","matchRule":"","updateUser":"admin","id":1463692890873081857,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施肛门括约肌肌电图检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692324772065282" itemCode="PD-2-4-1"></div><a id="1463692324772065282_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692324772065282_Note"></span></div><div class="itemTR" id="1463692327024406529_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692327024406529" itemCode="PD-2-4-2"><a id="1463692327024406529_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692327024406529_Note"></span></div><div class="itemTR" id="1463692329029283841_Row" dic='[{"formItemId":1463692329029283841,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463692892357865474,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692329029283841,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463692893091868673,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-2-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施头PET检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692329029283841" itemCode="PD-2-5-1"></div><a 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style="display:inline-block;width:35%;" title="PD-3-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>盐酸金刚烷胺禁忌症的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692365620391938" itemCode="PD-3-2-6"><a id="1463692365620391938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692365620391938_Note"></span></div><div class="itemTR" id="1463692367616880642_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他盐酸金刚烷胺禁忌症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692367616880642" itemCode="PD-3-2-6-1"><a id="1463692367616880642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692367616880642_Note"></span></div><div class="itemTR" id="1463692369592397825_Row" dic='[{"formItemId":1463692369592397825,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692953070415873,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692369592397825,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692953900888065,"indNo":2,"isActive":1,"desc":"对恩他卡朋成分过敏"},{"formItemId":1463692369592397825,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692954706194433,"indNo":3,"isActive":1,"desc":"嗜铬细胞瘤"},{"formItemId":1463692369592397825,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692955524083714,"indNo":4,"isActive":1,"desc":"既往有恶性神经阻滞剂综合征(NMS)和/或非创伤性横纹肌溶解症病史的患者"},{"formItemId":1463692369592397825,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463692956258086913,"indNo":5,"isActive":1,"desc":"肝功能不全"},{"formItemId":1463692369592397825,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463692957013061634,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="PD-3-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>恩他卡朋禁忌症的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692369592397825" itemCode="PD-3-2-7"><a id="1463692369592397825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692369592397825_Note"></span></div><div class="itemTR" id="1463692371593080834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-2-7-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他恩他卡朋禁忌症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692371593080834" itemCode="PD-3-2-7-1"><a id="1463692371593080834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692371593080834_Note"></span></div><div class="itemTR" id="1463692373610541057_Row" dic='[{"formItemId":1463692373610541057,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692958594314242,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692373610541057,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692959378649090,"indNo":2,"isActive":1,"desc":"重度肝功能不全患者"},{"formItemId":1463692373610541057,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692960121040898,"indNo":3,"isActive":1,"desc":"中度肝功能不全患者"},{"formItemId":1463692373610541057,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463692960934735873,"indNo":4,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="PD-3-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>雷沙吉兰禁忌症的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692373610541057" itemCode="PD-3-2-8"><a id="1463692373610541057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692373610541057_Note"></span></div><div class="itemTR" id="1463692375581863937_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-2-8-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他雷沙吉兰禁忌症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692375581863937" itemCode="PD-3-2-8-1"><a id="1463692375581863937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692375581863937_Note"></span></div><div class="itemTR" id="1463692377557381122_Row" dic='[{"formItemId":1463692377557381122,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692962541154305,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692377557381122,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692963300323330,"indNo":2,"isActive":1,"desc":"对本品有过敏反应的患者"},{"formItemId":1463692377557381122,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692964063686657,"indNo":3,"isActive":1,"desc":"哺乳及怀孕妇女"},{"formItemId":1463692377557381122,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463692964881575937,"indNo":4,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="PD-3-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>盐酸罗匹尼罗禁忌症的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692377557381122" itemCode="PD-3-2-9"><a id="1463692377557381122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692377557381122_Note"></span></div><div class="itemTR" id="1463692379545481218_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-2-9-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他盐酸罗匹尼罗禁忌症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692379545481218" itemCode="PD-3-2-9-1"><a id="1463692379545481218_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692379545481218_Note"></span></div><div class="itemTR" id="1463692381512609793_Row" dic='[{"formItemId":1463692381512609793,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692966374748161,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692381512609793,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692967180054529,"indNo":2,"isActive":1,"desc":"活动性溃疡患者"},{"formItemId":1463692381512609793,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692967989555202,"indNo":3,"isActive":1,"desc":"对本品有过敏反应的患者"},{"formItemId":1463692381512609793,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463692969189126145,"indNo":4,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="PD-3-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>司来吉兰禁忌症的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692381512609793" itemCode="PD-3-2-10"><a id="1463692381512609793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692381512609793_Note"></span></div><div class="itemTR" id="1463692383500709889_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-2-10-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他司来吉兰禁忌症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692383500709889" itemCode="PD-3-2-10-1"><a id="1463692383500709889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692383500709889_Note"></span></div><p title="UPDRS-III测评量表分值" class="itemsubCat">UPDRS-III测评量表分值</p><div class="itemTR" id="1463692385459449858_Row" dic='[{"formItemId":1463692385459449858,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692970812321794,"indNo":1,"isActive":1,"desc":"基线值（关期）"},{"formItemId":1463692385459449858,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692971563102210,"indNo":2,"isActive":1,"desc":"最佳改善值（开期）"},{"formItemId":1463692385459449858,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463692972326465538,"indNo":3,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-3-3-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>运动检查 </div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692385459449858" itemCode="PD-3-3-1-3"></div><a id="1463692385459449858_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692385459449858_Note"></span></div><div class="itemTR" id="1463692387413995522_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>基线值（关期)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692387413995522" itemCode="PD-3-3-1-1"><a id="1463692387413995522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692387413995522_Note"></span></div><div class="itemTR" id="1463692389423067138_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-3-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>最佳改善值（开期）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692389423067138" itemCode="PD-3-3-1-2"><a id="1463692389423067138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692389423067138_Note"></span></div><p title="测评疗效反应结论" class="itemsubCat">测评疗效反应结论</p><div class="itemTR" id="1463692391411167234_Row" 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style="display:inline-block;width:35%;" title="PD-3-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>疗效反应结论的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692391411167234" itemCode="PD-3-4-1"><a id="1463692391411167234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692391411167234_Note"></span></div><p title="测评不良反应风险" class="itemsubCat">测评不良反应风险</p><div class="itemTR" id="1463692394603032577_Row" 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dic='[{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692987472097281,"indNo":1,"isActive":1,"desc":"单侧肢体症状"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692988235460610,"indNo":2,"isActive":1,"desc":"双侧肢体症状"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692988990435329,"indNo":3,"isActive":1,"desc":"可保持平衡"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463692989728632833,"indNo":4,"isActive":1,"desc":"不能保持平衡"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463692990559105026,"indNo":5,"isActive":1,"desc":"后拉试验结论（阳性）"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463692991288913922,"indNo":6,"isActive":1,"desc":"后拉试验结论（阴性）"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"g","id":1463692992014528513,"indNo":7,"isActive":1,"desc":"可独立行走"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"h","id":1463692992756920321,"indNo":8,"isActive":1,"desc":"不能独立行走"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"i","id":1463692993490923521,"indNo":9,"isActive":1,"desc":"不使用轮椅"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"j","id":1463692994220732417,"indNo":10,"isActive":1,"desc":"使用轮椅"},{"formItemId":1463692402995834882,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463692994950541314,"indNo":11,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-4-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床分期依据一: 主要有那些临床表现及体征</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692402995834882" itemCode="PD-4-1-2"></div><a id="1463692402995834882_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692402995834882_Note"></span></div><div class="itemTR" id="1463692406259003393_Row" dic='[{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463692996468879361,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463692997265797122,"indNo":2,"isActive":1,"desc":"0级: 无症状"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463692997999800322,"indNo":3,"isActive":1,"desc":"1级: 单侧肢体受累"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463692998750580737,"indNo":4,"isActive":1,"desc":"1.5级: 单侧肢体合并躯干症状"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463692999488778241,"indNo":5,"isActive":1,"desc":"2级: 双侧症状，无平衡障碍"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693000206004225,"indNo":6,"isActive":1,"desc":"2.5级: 轻度双侧肢体症状，后拉试验阴性"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463693000965173249,"indNo":7,"isActive":1,"desc":"3级: 轻至中度双侧症状，后拉试验阳性"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"g","id":1463693001724342274,"indNo":8,"isActive":1,"desc":"4级: 重度残疾，不需帮助仍能站立和行走"},{"formItemId":1463692406259003393,"isDefault":0,"updateDate":1700189069000,"code":"h","id":1463693002642894849,"indNo":9,"isActive":1,"desc":"5级: 坐轮椅或卧床，完全依赖别人帮助"}]'><div style="display:inline-block;width:35%;" title="PD-4-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>H-Y分期结论</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692406259003393" itemCode="PD-4-1-3"><a id="1463692406259003393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692406259003393_Note"></span></div><div class="itemTR" id="1463692409744470017_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-4-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692409744470017" itemCode="PD-4-1-4"><a id="1463692409744470017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692409744470017_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('PD-5: 临床症状评估情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PD-5: 临床症状评估情况</div><div title="PD-5: 临床症状评估情况"><p title="入院一周内完成MDS-UPDRS量表测评" class="itemsubCat">入院一周内完成MDS-UPDRS量表测评</p><div class="itemTR" id="1463692411770318850_Row" dic='[{"formItemId":1463692411770318850,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693004089929730,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692411770318850,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463693004962344962,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行神经功能缺损评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692411770318850" itemCode="PD-5-1-1"></div><a id="1463692411770318850_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692411770318850_Note"></span></div><div class="itemTR" id="1463692413737447425_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>第一部分：日常生活非运动症状体验</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692413737447425" itemCode="PD-5-1-2"><a id="1463692413737447425_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692413737447425_Note"></span></div><div class="itemTR" id="1463692415729741825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-5-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>第二部分：日常生活运动症状体验</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692415729741825" itemCode="PD-5-1-3"><a id="1463692415729741825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692415729741825_Note"></span></div><div class="itemTR" id="1463692417696870401_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-5-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>第三部分：运动功能检查</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692417696870401" itemCode="PD-5-1-4"><a id="1463692417696870401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692417696870401_Note"></span></div><div class="itemTR" id="1463692419643027457_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-5-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>第四部分：运动并发症</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692419643027457" itemCode="PD-5-1-5"><a id="1463692419643027457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692419643027457_Note"></span></div><div class="itemTR" id="1463692421660487681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-5-1-6" class="itemDescTD">日常分值合计</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692421660487681" itemCode="PD-5-1-6"><a id="1463692421660487681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692421660487681_Note"></span></div><div class="itemTR" id="1463692423623421953_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-5-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692423623421953" itemCode="PD-5-1-7"><a id="1463692423623421953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692423623421953_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('PD-6: 筛查运动并发症、认知功能障碍及体位性低血压情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PD-6: 筛查运动并发症、认知功能障碍及体位性低血压情况</div><div title="PD-6: 筛查运动并发症、认知功能障碍及体位性低血压情况"><p title="住院一周内完成筛查运动并发症" class="itemsubCat">住院一周内完成筛查运动并发症</p><div class="itemTR" id="1463692425598939137_Row" dic='[{"formItemId":1463692425598939137,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693007785111553,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692425598939137,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693008603000833,"indNo":2,"isActive":1,"desc":"剂末现象"},{"formItemId":1463692425598939137,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693010435911681,"indNo":3,"isActive":1,"desc":"异动症"},{"formItemId":1463692425598939137,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693011169914881,"indNo":4,"isActive":1,"desc":"无运动并发症"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>运动并发症类型</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692425598939137" itemCode="PD-6-1-1"><a id="1463692425598939137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692425598939137_Note"></span></div><div class="itemTR" id="1463692427742228481_Row" dic='[{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693012642115586,"indNo":1,"isActive":1,"desc":"WOQ-9"},{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693013363535874,"indNo":2,"isActive":1,"desc":"WOQ-19"},{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693014131093505,"indNo":3,"isActive":1,"desc":"WOQ-32"},{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693014932205569,"indNo":4,"isActive":1,"desc":"使用UPDRS-III筛查：左旋多巴药物测评提示有效改善时间小于4小时"},{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693015687180289,"indNo":5,"isActive":1,"desc":"患者日记或患者自我报告"},{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693016429572098,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463692427742228481,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693017226489857,"indNo":7,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>剂末现象的筛查</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692427742228481" itemCode="PD-6-1-2"></div><a id="1463692427742228481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692427742228481_Note"></span></div><div class="itemTR" id="1463692429826797570_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他剂末现象</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692429826797570" itemCode="PD-6-1-2-1"><a id="1463692429826797570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692429826797570_Note"></span></div><div class="itemTR" id="1463692431802314754_Row" dic='[{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693018786770946,"indNo":1,"isActive":1,"desc":"调整左旋多巴给药次数（在不增加总剂量或适当增加总剂量的条件下）首选"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693019516579841,"indNo":2,"isActive":1,"desc":"换用左旋多巴缓释剂"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693020246388737,"indNo":3,"isActive":1,"desc":"加用或更换多巴胺受体激动剂"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693020959420417,"indNo":4,"isActive":1,"desc":"加用COMT抑制剂"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693021689229313,"indNo":5,"isActive":1,"desc":"加用MAO-B抑制剂"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463693022423232514,"indNo":6,"isActive":1,"desc":"加用金刚烷胺或抗胆碱能药物"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"g","id":1463693023241121794,"indNo":7,"isActive":1,"desc":"减少饮食（含蛋白质）对左旋多巴的吸收"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"h","id":1463693024004485122,"indNo":8,"isActive":1,"desc":"DBS手术治疗"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693024872706049,"indNo":9,"isActive":1,"desc":"其他"},{"formItemId":1463692431802314754,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693025875144706,"indNo":10,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>剂末现象的处理</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692431802314754" itemCode="PD-6-1-3"></div><a id="1463692431802314754_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692431802314754_Note"></span></div><div class="itemTR" id="1463692433811386370_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他剂末现象处理</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692433811386370" itemCode="PD-6-1-3-1"><a id="1463692433811386370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692433811386370_Note"></span></div><div class="itemTR" id="1463692435786903553_Row" dic='[{"formItemId":1463692435786903553,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693027376705537,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692435786903553,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693028106514433,"indNo":2,"isActive":1,"desc":"剂峰异动"},{"formItemId":1463692435786903553,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693028853100545,"indNo":3,"isActive":1,"desc":"剂末异动"},{"formItemId":1463692435786903553,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693029582909441,"indNo":4,"isActive":1,"desc":"双相异动（多表现为肌张力障碍）"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>异动症类型</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692435786903553" itemCode="PD-6-1-4"><a id="1463692435786903553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692435786903553_Note"></span></div><div class="itemTR" id="1463692437745643522_Row" dic='[{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693031101247489,"indNo":1,"isActive":1,"desc":"减少单次复方左旋多巴的剂量，如出现剂末可适当增加次数"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693031927525378,"indNo":2,"isActive":1,"desc":"减少或停服MAO-B抑制剂或COMT抑制剂"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693032657334273,"indNo":3,"isActive":1,"desc":"加用金刚烷胺"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693033399726081,"indNo":4,"isActive":1,"desc":"加用非典型抗精神病药物如氯氮平"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693034129534977,"indNo":5,"isActive":1,"desc":"如使用复方左旋多巴缓释片，则换用常释剂，避免缓释剂的累积效应"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463693034855149570,"indNo":6,"isActive":1,"desc":"DBS手术"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693035605929985,"indNo":7,"isActive":1,"desc":"其他"},{"formItemId":1463692437745643522,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693036352516097,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>剂峰异动症处理</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692437745643522" itemCode="PD-6-1-4-1"></div><a id="1463692437745643522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692437745643522_Note"></span></div><div class="itemTR" id="1463692439725355009_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-1-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他剂峰异动处理</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692439725355009" itemCode="PD-6-1-4-1-1"><a id="1463692439725355009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692439725355009_Note"></span></div><div class="itemTR" id="1463692441730232322_Row" dic='[{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693037862465537,"indNo":1,"isActive":1,"desc":"调整左旋多巴给药次数（在不增加总剂量或适当增加总剂量的条件下）首选"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693038588080129,"indNo":2,"isActive":1,"desc":"换用左旋多巴缓释剂"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693039334666241,"indNo":3,"isActive":1,"desc":"加用多巴胺受体激动剂"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693040194498561,"indNo":4,"isActive":1,"desc":"加用COMT抑制剂"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693040911724545,"indNo":5,"isActive":1,"desc":"加用MAO-B抑制剂"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463693041633144834,"indNo":6,"isActive":1,"desc":"加用金刚烷胺或抗胆碱能药物"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"g","id":1463693042362953730,"indNo":7,"isActive":1,"desc":"减少饮食（含蛋白质）对左旋多巴的吸收"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"h","id":1463693043096956929,"indNo":8,"isActive":1,"desc":"DBS手术治疗"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693043851931650,"indNo":9,"isActive":1,"desc":"其他"},{"formItemId":1463692441730232322,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693044585934850,"indNo":10,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>剂末异动症处理</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692441730232322" itemCode="PD-6-1-4-2"></div><a id="1463692441730232322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692441730232322_Note"></span></div><div class="itemTR" id="1463692443709943810_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-1-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他剂末异动处理</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692443709943810" itemCode="PD-6-1-4-2-1"><a id="1463692443709943810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692443709943810_Note"></span></div><div class="itemTR" id="1463692445924536322_Row" dic='[{"formItemId":1463692445924536322,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693046053941249,"indNo":1,"isActive":1,"desc":"换用常释剂或水溶剂，减少剂初异动"},{"formItemId":1463692445924536322,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693046775361538,"indNo":2,"isActive":1,"desc":"加用多巴胺受体激动剂或COMT抑制剂缓解剂末异动"},{"formItemId":1463692445924536322,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693047505170434,"indNo":3,"isActive":1,"desc":"DBS手术"},{"formItemId":1463692445924536322,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693048255950849,"indNo":4,"isActive":1,"desc":"其他"},{"formItemId":1463692445924536322,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693048977371137,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-6-1-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>双相异动症处理</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692445924536322" itemCode="PD-6-1-4-3"></div><a id="1463692445924536322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692445924536322_Note"></span></div><div class="itemTR" id="1463692447983939585_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-1-4-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他双相异动处理</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692447983939585" itemCode="PD-6-1-4-3-1"><a id="1463692447983939585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692447983939585_Note"></span></div><div class="itemTR" id="1463692450055925761_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>筛查完成日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692450055925761" itemCode="PD-6-1-5"><a id="1463692450055925761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692450055925761_Note"></span></div><p title="住院一周内完成筛查认知功能障碍" class="itemsubCat">住院一周内完成筛查认知功能障碍</p><div class="itemTR" id="1463692453067436034_Row" dic='[{"formItemId":1463692453067436034,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693050571206658,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692453067436034,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463693051305209858,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施筛查认知功能障碍评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692453067436034" itemCode="PD-6-2-1"></div><a id="1463692453067436034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692453067436034_Note"></span></div><div class="itemTR" id="1463692455005204482_Row" dic='[{"formItemId":1463692455005204482,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693052848713729,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692455005204482,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693053557551105,"indNo":2,"isActive":1,"desc":"MMSE"},{"formItemId":1463692455005204482,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693054262194177,"indNo":3,"isActive":1,"desc":"MoCA"},{"formItemId":1463692455005204482,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693055059111938,"indNo":4,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>进行认知功能筛查类型的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692455005204482" itemCode="PD-6-2-2"><a id="1463692455005204482_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692455005204482_Note"></span></div><div class="itemTR" id="1463692457299488769_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>定向力筛查结果</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692457299488769" itemCode="PD-6-2-3-1"><a id="1463692457299488769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692457299488769_Note"></span></div><div class="itemTR" id="1463692459308560386_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>记忆力筛查结果</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692459308560386" itemCode="PD-6-2-3-2"><a id="1463692459308560386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692459308560386_Note"></span></div><div class="itemTR" id="1463692461393129473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>注意力和计算力筛查结果</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692461393129473" itemCode="PD-6-2-3-3"><a id="1463692461393129473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692461393129473_Note"></span></div><div class="itemTR" id="1463692464534663169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>回忆能力筛查结果</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692464534663169" itemCode="PD-6-2-3-4"><a id="1463692464534663169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692464534663169_Note"></span></div><div class="itemTR" id="1463692466937999361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>语言能力筛查结果</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692466937999361" itemCode="PD-6-2-3-5"><a id="1463692466937999361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692466937999361_Note"></span></div><div class="itemTR" id="1463692468980625410_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-3" class="itemDescTD">入院1周完成筛查认知功能障碍（MMSE）评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692468980625410" itemCode="PD-6-2-3"><a id="1463692468980625410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692468980625410_Note"></span></div><div class="itemTR" id="1463692471149080577_Row" dic='[{"formItemId":1463692471149080577,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693056648753153,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692471149080577,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693057399533570,"indNo":2,"isActive":1,"desc":"轻度≥21分"},{"formItemId":1463692471149080577,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693058234200065,"indNo":3,"isActive":1,"desc":"中度10-20分"},{"formItemId":1463692471149080577,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693059047895042,"indNo":4,"isActive":1,"desc":"重度≤9分"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-4" class="itemDescTD">痴呆严重程度分级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692471149080577" itemCode="PD-6-2-4"><a id="1463692471149080577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692471149080577_Note"></span></div><div class="itemTR" id="1463692473351090178_Row" dic='[{"formItemId":1463692473351090178,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693060583010305,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692473351090178,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693061329596417,"indNo":2,"isActive":1,"desc":"帕金森病痴呆"},{"formItemId":1463692473351090178,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693062071988225,"indNo":3,"isActive":1,"desc":"帕金森病合并轻度认知障碍"},{"formItemId":1463692473351090178,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693062801797121,"indNo":4,"isActive":1,"desc":"无认知功能障碍"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>认知功能障碍类型</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692473351090178" itemCode="PD-6-2-5"><a id="1463692473351090178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692473351090178_Note"></span></div><div class="itemTR" id="1463692476329046017_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692476329046017" itemCode="PD-6-2-6"><a id="1463692476329046017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692476329046017_Note"></span></div><div class="itemTR" id="1463692478816268289_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他进行认知功能筛查类型</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692478816268289" itemCode="PD-6-2-2-1"><a id="1463692478816268289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692478816268289_Note"></span></div><div class="itemTR" id="1463692481022472194_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-6-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Moca量表评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692481022472194" itemCode="PD-6-2-7"><a id="1463692481022472194_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692481022472194_Note"></span></div><div class="itemTR" id="1463692483178344449_Row" dic='[{"formItemId":1463692483178344449,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693064286580737,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692483178344449,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693065045749762,"indNo":2,"isActive":1,"desc":"轻度MMSE≥21分"},{"formItemId":1463692483178344449,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693066077548546,"indNo":3,"isActive":1,"desc":"中度,MMSE 10-20分"},{"formItemId":1463692483178344449,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693066845106178,"indNo":4,"isActive":1,"desc":"重度,MMSE≤9分"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-8" class="itemDescTD">痴呆严重程度分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692483178344449" itemCode="PD-6-2-8"><a id="1463692483178344449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692483178344449_Note"></span></div><div class="itemTR" id="1463692485212581890_Row" dic='[{"formItemId":1463692485212581890,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693068581548034,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692485212581890,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463693069709815809,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施认知功能障碍治疗</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692485212581890" itemCode="PD-6-2-9"></div><a id="1463692485212581890_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692485212581890_Note"></span></div><div class="itemTR" id="1463692487448145921_Row" dic='[{"formItemId":1463692487448145921,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693072238981121,"indNo":1,"isActive":1,"desc":"胆碱酯酶抑制剂（卡巴拉汀）"},{"formItemId":1463692487448145921,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693073140756481,"indNo":2,"isActive":1,"desc":"胆碱酯酶抑制剂（多奈哌齐）"},{"formItemId":1463692487448145921,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693073992200193,"indNo":3,"isActive":1,"desc":"护理宣教"},{"formItemId":1463692487448145921,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693074927529985,"indNo":4,"isActive":1,"desc":"其他"},{"formItemId":1463692487448145921,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693075699281922,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="PD-6-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>认知功能障碍治疗措施的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" 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style="color:red">*</span>是否为合并运动并发症的患者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692537997897729" itemCode="PD-7-1-1"><a id="1463692537997897729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692537997897729_Note"></span></div><div class="itemTR" id="1463692539960832002_Row" dic='[{"formItemId":1463692539960832002,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693111606718466,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463692539960832002,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463693112428802050,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-7-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否为原发性PD</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692539960832002" itemCode="PD-7-1-2-1"></div><a id="1463692539960832002_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692539960832002_Note"></span></div><div class="itemTR" id="1463692541944737793_Row" dic='[{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693113951334402,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693114714697730,"indNo":2,"isActive":1,"desc":"严重剂末现象"},{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693115847159810,"indNo":3,"isActive":1,"desc":"功能障碍性异动"},{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693116589551618,"indNo":4,"isActive":1,"desc":"药物难治性震颤"},{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693117432606721,"indNo":5,"isActive":1,"desc":"开关现象"},{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693118254690306,"indNo":6,"isActive":1,"desc":"肌张力障碍"},{"formItemId":1463692541944737793,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463693119013859329,"indNo":7,"isActive":1,"desc":"由于药物不良反应无法服用相关药物"}]'><div style="display:inline-block;width:35%;" title="PD-7-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>优化药物治疗后，仍存在下列情况之一者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692541944737793" itemCode="PD-7-1-2-2"><a id="1463692541944737793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692541944737793_Note"></span></div><div class="itemTR" id="1463692544192884737_Row" dic='[{"formItemId":1463692544192884737,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693120825798657,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692544192884737,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693121723379714,"indNo":2,"isActive":1,"desc":"UPDRSIII评分改善>30%（左旋多巴200mg）"},{"formItemId":1463692544192884737,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693122579017730,"indNo":3,"isActive":1,"desc":"UPDRSIII评分 改善在20-30%之间，但合并严重震颤"}]'><div style="display:inline-block;width:35%;" title="PD-7-1-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>急性左旋多巴药物反应良好，存在下列情况之一者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692544192884737" itemCode="PD-7-1-2-3"><a id="1463692544192884737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692544192884737_Note"></span></div><div class="itemTR" id="1463692546164207617_Row" dic='[{"formItemId":1463692546164207617,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693124105744386,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692546164207617,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693124890079233,"indNo":2,"isActive":1,"desc":"病程>5年"},{"formItemId":1463692546164207617,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693125645053953,"indNo":3,"isActive":1,"desc":"病程与病情严重程度不符，但排除其他帕金森综合征"}]'><div style="display:inline-block;width:35%;" title="PD-7-1-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病程</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692546164207617" itemCode="PD-7-1-2-4"><a id="1463692546164207617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692546164207617_Note"></span></div><div class="itemTR" id="1463692548177473537_Row" dic='[{"formItemId":1463692548177473537,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693127264055298,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692548177473537,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693128065167361,"indNo":2,"isActive":1,"desc":"年龄18-75岁"},{"formItemId":1463692548177473537,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693128929193986,"indNo":3,"isActive":1,"desc":"年龄>75岁，一般情况良好，无手术禁忌症"}]'><div style="display:inline-block;width:35%;" title="PD-7-1-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>年龄：符合一条</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692548177473537" itemCode="PD-7-1-2-5"><a id="1463692548177473537_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692548177473537_Note"></span></div><div class="itemTR" id="1463692550232682498_Row" dic='[{"formItemId":1463692550232682498,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693130602721281,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692550232682498,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693131408027650,"indNo":2,"isActive":1,"desc":"严重认知障碍，MMSE低于临界值（开期评测，年龄及教育程度校正后）或CDR大于等于1，或符合中国痴呆诊断标准"},{"formItemId":1463692550232682498,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693132158808066,"indNo":3,"isActive":1,"desc":"抑郁症（根据中国诊断标准，如DSM-IV等）或严重神经精神疾病"},{"formItemId":1463692550232682498,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693132917977089,"indNo":4,"isActive":1,"desc":"有自杀倾向"},{"formItemId":1463692550232682498,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693133631008769,"indNo":5,"isActive":1,"desc":"其他系统疾病影响手术或麻醉"},{"formItemId":1463692550232682498,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693134344040449,"indNo":6,"isActive":1,"desc":"近期服用抗血栓药物（如华法林、阿司匹林、氯吡格雷）"}]'><div style="display:inline-block;width:35%;" title="PD-7-1-3" class="itemDescTD">手术禁忌证的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692550232682498" itemCode="PD-7-1-3"><a id="1463692550232682498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692550232682498_Note"></span></div><div class="itemTR" id="1463692552199811074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-7-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692552199811074" itemCode="PD-7-1-4"><a id="1463692552199811074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692552199811074_Note"></span></div><p title="患者进行脑深部电刺激手术" class="itemsubCat">患者进行脑深部电刺激手术</p><div class="itemTR" id="1463692554263408642_Row" dic='[{"formItemId":1463692554263408642,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693135824629762,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463692554263408642,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693136743182338,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463692554263408642,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463693137468796930,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PD-7-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行脑深部电刺激手术（DBS）</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692554263408642" itemCode="PD-7-2-1"><a id="1463692554263408642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692554263408642_Note"></span></div><div class="itemTR" id="1463692556440252418_Row" dic='[{"formItemId":1463692556440252418,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693138999717889,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692556440252418,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693139721138177,"indNo":2,"isActive":1,"desc":"01.20 颅神经刺激脉冲发生器植入或置换术"},{"formItemId":1463692556440252418,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693140459335681,"indNo":3,"isActive":1,"desc":"01.42 苍白球手术"},{"formItemId":1463692556440252418,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693141197533186,"indNo":4,"isActive":1,"desc":"02.93 颅内神经刺激器导线植入或置换术"},{"formItemId":1463692556440252418,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693141927342082,"indNo":5,"isActive":1,"desc":"其他手术"}]'><div style="display:inline-block;width:35%;" title="PD-7-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施脑深部电刺激手术（DBS）的ICD-9-CM-3四位亚目编码及名称的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692556440252418" itemCode="PD-7-2-2"><a id="1463692556440252418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692556440252418_Note"></span></div><div class="itemTR" id="1463692558545793025_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-7-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施脑深部电刺激其他手术</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692558545793025" itemCode="PD-7-2-2-1"></div><a id="1463692558545793025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692558545793025_Note"></span></div><div class="itemTR" id="1725344107242471426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="PD-7-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>DBS手术完成日期</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344107242471426" itemCode="PD-7-2-3-2"><a id="1725344107242471426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344107242471426_Note"></span></div><p title="手术并发症" class="itemsubCat">手术并发症</p><div class="itemTR" id="1463692562723319810_Row" dic='[{"formItemId":1463692562723319810,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693143365988354,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463692562723319810,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693144099991554,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463692562723319810,"isDefault":1,"updateDate":1700189069000,"code":"n","id":1463693145014349826,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有手术后并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692562723319810" itemCode="CM-2-1"><a id="1463692562723319810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692562723319810_Note"></span></div><div class="itemTR" id="1463692564698836994_Row" dic='[{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693146532687873,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693147266691073,"indNo":2,"isActive":1,"desc":"手术并发症(O04.5，T81.1，T81.2，T81.3，T81.7，T81.8)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693147992305666,"indNo":3,"isActive":1,"desc":"手术患者手术后肺栓塞(I26.9，O04.2，O07.2，O88.2)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693148764057602,"indNo":4,"isActive":1,"desc":"手术患者手术后深静脉血栓(I80.2，I82.8，O22.3，O87.1)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693149506449409,"indNo":5,"isActive":1,"desc":"手术患者手术后败血症(T81.4)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693150236258305,"indNo":6,"isActive":1,"desc":"手术患者手术后出血或血肿(O04.1，O04.6，O04.8，O07.1，O07.6，T81.0)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"f","id":1463693150966067202,"indNo":7,"isActive":1,"desc":"手术患者手术伤口裂开(T81.3)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"g","id":1463693151716847617,"indNo":8,"isActive":1,"desc":"手术患者猝死（手术后24小时内死亡）(R96.0，R96.1)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"h","id":1463693152442462209,"indNo":9,"isActive":1,"desc":"手术患者手术后呼吸道并发症(J95.0至J95.9，J96.0，J96.9)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"i","id":1463693153663004673,"indNo":10,"isActive":1,"desc":"手术患者手术后生理/代谢紊乱(E86.x0，E87.0至E87.8，E88.8，E88.9，E89.0至E89.9)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"j","id":1463693154388619266,"indNo":11,"isActive":1,"desc":"与手术/操作相关感染(O04.0，O07.0，T81.4)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"k","id":1463693155118428161,"indNo":12,"isActive":1,"desc":"手术过程中异物遗留(T81.5)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"l","id":1463693155869208578,"indNo":13,"isActive":1,"desc":"麻醉并发症(T88.2，T88.3，T88.4，T88.5)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"m","id":1463693156590628865,"indNo":14,"isActive":1,"desc":"输注、输血反应(T80.0至T80.9)"},{"formItemId":1463692564698836994,"isDefault":0,"updateDate":1700189069000,"code":"oth","id":1463693157333020673,"indNo":15,"isActive":1,"desc":"其他 (用ICD-10四位亚目和名称说明)"}]'><div style="display:inline-block;width:35%;" title="CM-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后并发症类别及ICD-10四位亚目的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692564698836994" itemCode="CM-2-2"><a id="1463692564698836994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692564698836994_Note"></span></div><div class="itemTR" id="1463692568008142849_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-2-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术后并发症类别及ICD-10四位亚目和名称填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692568008142849" itemCode="CM-2-3-1-1"><a id="1463692568008142849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692568008142849_Note"></span></div><div class="itemTR" id="1463692570033991682_Row" dic='[{"formItemId":1463692570033991682,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693158801027073,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692570033991682,"isDefault":0,"updateDate":1700189069000,"code":"a","id":1463693159514058754,"indNo":2,"isActive":1,"desc":"O04.5医疗性流产,完全性或未特指,并发生殖道和盆腔感染"},{"formItemId":1463692570033991682,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693160248061953,"indNo":3,"isActive":1,"desc":"T81.1在操作中发生或由于操作造成的休克,不可归类在他处者"},{"formItemId":1463692570033991682,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693161024008193,"indNo":4,"isActive":1,"desc":"T81.2在操作中意外的穿刺和撕裂,不可归类在他处者"},{"formItemId":1463692570033991682,"isDefault":0,"updateDate":1700189069000,"code":"d","id":1463693162009669633,"indNo":5,"isActive":1,"desc":"T81.7操作后的血管并发症,不可归类在他处者"},{"formItemId":1463692570033991682,"isDefault":0,"updateDate":1700189069000,"code":"e","id":1463693162747867137,"indNo":6,"isActive":1,"desc":"T81.8操作的其他并发症,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>介入操作与手术其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692570033991682" itemCode="CM-2-3-1"><a id="1463692570033991682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692570033991682_Note"></span></div><div class="itemTR" id="1463692572122755073_Row" 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style="display:inline-block;width:35%;" title="PD-9-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>吞咽评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692631082086401" itemCode="PD-9-1-4"><a id="1463692631082086401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692631082086401_Note"></span></div><div class="itemTR" id="1463692633237958657_Row" 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style="display:inline-block;width:35%;" title="PD-9-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>压疮评估结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692643966988289" itemCode="PD-9-1-6-1"><a id="1463692643966988289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692643966988289_Note"></span></div><div class="itemTR" id="1463692646303215617_Row" dic='[{"formItemId":1463692646303215617,"isDefault":0,"updateDate":1700189069000,"code":"UTD","id":1463693304800555010,"indNo":1,"isActive":1,"desc":"无法确定或无记录"},{"formItemId":1463692646303215617,"isDefault":0,"updateDate":1700189069000,"code":"y","id":1463693305534558210,"indNo":2,"isActive":1,"desc":"告知"},{"formItemId":1463692646303215617,"isDefault":0,"updateDate":1700189069000,"code":"n","id":1463693306268561410,"indNo":3,"isActive":1,"desc":"未告知"}]'><div style="display:inline-block;width:35%;" title="PD-9-1-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>预防压疮是否告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692646303215617" itemCode="PD-9-1-6-2"><a id="1463692646303215617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692646303215617_Note"></span></div><div class="itemTR" id="1463692648358424578_Row" 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style="color:red">*</span>手术（DBS）前健康教育有记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463692657288097793" itemCode="PD-9-1-2-2"></div><a id="1463692657288097793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692657288097793_Note"></span></div><div class="itemTR" id="1463692659368472577_Row" 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title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463692682298732546" itemCode="CM-5-1"></div><a id="1463692682298732546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692682298732546_Note"></span></div><div class="itemTR" id="1463692684295221249_Row" 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20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692684295221249_Note"></span></div><div class="itemTR" id="1463692686354624514_Row" dic='[{"formItemId":1463692686354624514,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693386618843137,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692686354624514,"isDefault":1,"updateDate":1701949599000,"code":"a","updateUser":"batch","id":1463693387457703937,"indNo":2,"isActive":1,"desc":"说是的患者，他们肯定会给家人和朋友推荐这家医院"},{"formItemId":1463692686354624514,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693388481114114,"indNo":3,"isActive":1,"desc":"说是的患者，他们可能会给家人和朋友推荐这家医院"},{"formItemId":1463692686354624514,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693389215117314,"indNo":4,"isActive":1,"desc":"说不的患者，他们可能或肯定不会给家人和朋友推荐这家医院"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者推荐</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692686354624514" itemCode="CM-5-2-2"><a id="1463692686354624514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692686354624514_Note"></span></div><div class="itemTR" id="1463692688317558785_Row" dic='[{"formItemId":1463692688317558785,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693390674735105,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692688317558785,"isDefault":1,"updateDate":1701949606000,"code":"a","updateUser":"batch","id":1463693391442292737,"indNo":2,"isActive":1,"desc":"患者说他们的房间和浴室“总是”干净"},{"formItemId":1463692688317558785,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693392239210498,"indNo":3,"isActive":1,"desc":"患者说他们的房间和浴室“经常”干净"},{"formItemId":1463692688317558785,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693394390888450,"indNo":4,"isActive":1,"desc":"患者说他们的房间和浴室“有时”或“从不”干净"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房、床单元和卫生间清洁度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692688317558785" itemCode="CM-5-2-3"><a id="1463692688317558785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692688317558785_Note"></span></div><div class="itemTR" id="1463692690297270273_Row" dic='[{"formItemId":1463692690297270273,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693396882305025,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692690297270273,"isDefault":1,"updateDate":1701949613000,"code":"a","updateUser":"batch","id":1463693397666639873,"indNo":2,"isActive":1,"desc":"患者说他们房间周边在晚上“总是”安静"},{"formItemId":1463692690297270273,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693398501306370,"indNo":3,"isActive":1,"desc":"患者说他们房间周边在晚上“经常”安静"},{"formItemId":1463692690297270273,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693399247892482,"indNo":4,"isActive":1,"desc":"患者说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692690297270273" itemCode="CM-5-2-5"><a id="1463692690297270273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692690297270273_Note"></span></div><div class="itemTR" id="1463692692369256449_Row" dic='[{"formItemId":1463692692369256449,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693400850116610,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692692369256449,"isDefault":1,"updateDate":1701949622000,"code":"a","updateUser":"batch","id":1463693401663811586,"indNo":2,"isActive":1,"desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1463692692369256449,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693402515255298,"indNo":3,"isActive":1,"desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1463692692369256449,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693403253452802,"indNo":4,"isActive":1,"desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692692369256449" itemCode="CM-5-2-6"><a id="1463692692369256449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692692369256449_Note"></span></div><div class="itemTR" id="1463692694344773633_Row" dic='[{"formItemId":1463692694344773633,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693404780179458,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692694344773633,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1463693405644206082,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463692694344773633,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693407481311234,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463692694344773633,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693408227897346,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692694344773633" itemCode="CM-5-2-7"><a id="1463692694344773633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692694344773633_Note"></span></div><div class="itemTR" id="1463692696362233857_Row" dic='[{"formItemId":1463692696362233857,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693409788178434,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692696362233857,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1463693410593484801,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463692696362233857,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693411348459521,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463692696362233857,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693412099239938,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692696362233857" itemCode="CM-5-2-8"><a id="1463692696362233857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692696362233857_Note"></span></div><div class="itemTR" id="1463692698346139649_Row" dic='[{"formItemId":1463692698346139649,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693413613383681,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692698346139649,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1463693414397718529,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463692698346139649,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693415135916033,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463692698346139649,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693415865724930,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692698346139649" itemCode="CM-5-2-9"><a id="1463692698346139649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692698346139649_Note"></span></div><div class="itemTR" id="1463692700342628353_Row" dic='[{"formItemId":1463692700342628353,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693417325342721,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692700342628353,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463693418059345921,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463692700342628353,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693418789154818,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463692700342628353,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693419510575106,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692700342628353" itemCode="CM-5-2-10"><a id="1463692700342628353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692700342628353_Note"></span></div><div class="itemTR" id="1463692702376865794_Row" dic='[{"formItemId":1463692702376865794,"isDefault":0,"updateDate":1700189069000,"code":"def","id":1463693420953415682,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463692702376865794,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463693421700001794,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463692702376865794,"isDefault":0,"updateDate":1700189069000,"code":"b","id":1463693422446587906,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463692702376865794,"isDefault":0,"updateDate":1700189069000,"code":"c","id":1463693423172202497,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692702376865794" itemCode="CM-5-2-11"><a id="1463692702376865794_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692702376865794_Note"></span></div></div><div class="itemCat" id="Title12" onclick="objScreen.toggle('PD-12: 住院费用（元）')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PD-12: 住院费用（元）</div><div title="PD-12: 住院费用（元）"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463692704759230466_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692704759230466" itemCode="CM-6-1"><a id="1463692704759230466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692704759230466_Note"></span></div><div class="itemTR" id="1463692706973822978_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692706973822978" itemCode="CM-6-2"><a id="1463692706973822978_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692706973822978_Note"></span></div><div class="itemTR" id="1463692708991283201_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692708991283201" itemCode="CM-6-3"><a id="1463692708991283201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692708991283201_Note"></span></div><div class="itemTR" id="1463692710975188993_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692710975188993" itemCode="CM-6-4"><a id="1463692710975188993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692710975188993_Note"></span></div><div class="itemTR" id="1463692712921346050_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692712921346050" itemCode="CM-6-5"><a id="1463692712921346050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692712921346050_Note"></span></div><div class="itemTR" id="1463692714951389186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692714951389186" itemCode="CM-6-6"><a id="1463692714951389186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692714951389186_Note"></span></div><div class="itemTR" id="1463692716947877890_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692716947877890" itemCode="CM-6-7"><a id="1463692716947877890_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692716947877890_Note"></span></div><div class="itemTR" id="1463692718969532418_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692718969532418" itemCode="CM-6-8"><a id="1463692718969532418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692718969532418_Note"></span></div><div class="itemTR" id="1463692720932466690_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692720932466690" itemCode="CM-6-9"><a id="1463692720932466690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692720932466690_Note"></span></div><div class="itemTR" id="1463692722895400962_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692722895400962" itemCode="CM-6-10"><a id="1463692722895400962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692722895400962_Note"></span></div><div class="itemTR" id="1463692724875112449_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692724875112449" itemCode="CM-6-11"><a id="1463692724875112449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692724875112449_Note"></span></div><div class="itemTR" id="1463692727018401793_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692727018401793" itemCode="CM-6-12"><a id="1463692727018401793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692727018401793_Note"></span></div><div class="itemTR" id="1463692728998113282_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692728998113282" itemCode="CM-6-13"><a id="1463692728998113282_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692728998113282_Note"></span></div><div class="itemTR" id="1463692731061710850_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692731061710850" itemCode="CM-6-14"><a id="1463692731061710850_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692731061710850_Note"></span></div><div class="itemTR" id="1463692733100142594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692733100142594" itemCode="CM-6-15"><a id="1463692733100142594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692733100142594_Note"></span></div><div class="itemTR" id="1463692735125991426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692735125991426" itemCode="CM-6-16"><a id="1463692735125991426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692735125991426_Note"></span></div><div class="itemTR" id="1463692737076342786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692737076342786" itemCode="CM-6-17"><a id="1463692737076342786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692737076342786_Note"></span></div><div class="itemTR" id="1463692739156717570_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692739156717570" itemCode="CM-6-18"><a id="1463692739156717570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692739156717570_Note"></span></div><div class="itemTR" id="1463692741270646786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692741270646786" itemCode="CM-6-19"><a id="1463692741270646786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692741270646786_Note"></span></div><div class="itemTR" id="1463692743409741825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692743409741825" itemCode="CM-6-20"><a id="1463692743409741825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692743409741825_Note"></span></div><div class="itemTR" id="1463692745729191938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692745729191938" itemCode="CM-6-21"><a id="1463692745729191938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692745729191938_Note"></span></div><div class="itemTR" id="1463692748048642049_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692748048642049" itemCode="CM-6-22"><a id="1463692748048642049_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692748048642049_Note"></span></div><div class="itemTR" id="1463692750049325058_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692750049325058" itemCode="CM-6-23"><a id="1463692750049325058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692750049325058_Note"></span></div><div class="itemTR" id="1463692752356192258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692752356192258" itemCode="CM-6-24"><a id="1463692752356192258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692752356192258_Note"></span></div><div class="itemTR" id="1463692754327515137_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692754327515137" itemCode="CM-6-25"><a id="1463692754327515137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692754327515137_Note"></span></div><div class="itemTR" id="1463692756328198146_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692756328198146" itemCode="CM-6-26"><a id="1463692756328198146_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692756328198146_Note"></span></div><div class="itemTR" id="1463692758282743810_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692758282743810" itemCode="CM-6-27"><a id="1463692758282743810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692758282743810_Note"></span></div><div class="itemTR" id="1463692760279232514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692760279232514" itemCode="CM-6-28"><a id="1463692760279232514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692760279232514_Note"></span></div><div class="itemTR" id="1463692762300887041_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692762300887041" itemCode="CM-6-29"><a id="1463692762300887041_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692762300887041_Note"></span></div><div class="itemTR" id="1463692764741971969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463692764741971969" itemCode="CM-6-30"><a id="1463692764741971969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463692764741971969_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>PD-1: 诊断标准</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>PD-2: 辅助检查情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>PD-3: 评测标准化多巴胺能反应性情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>PD-4: 临床分期</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>PD-5: 临床症状评估情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>PD-6: 筛查运动并发症、认知功能障碍及体位性低血压情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>PD-7: 对合并运动并发症的患者进行脑深部电刺激手术</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>PD-8: 康复评价与实施康复训练情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>PD-9: 治疗前、治疗后健康教育与出院教育告知五项要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>PD-10: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>PD-11: 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>PD-12: 住院费用</a></li></ul></div>
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